MELISSA CLAIRE CAMPBELL (NPI# 1609379072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609379072 |
| Entity Type | Individual |
| Full Name | MELISSA CLAIRE CAMPBELL |
| Credential | PSY.D. |
| Practice Address |
2401 Gillham Rd Kansas City MO 64108 |
| Mailing Address |
2401 Gillham Rd. Provider Enrollment Kansas City MO 64108-4619 |
| Practice Telephone | 8162343000 |
| Practice Fax Number | 8163029939 |
| Mailing Telephone | 8167015200 |
| Mailing Fax Number | 8163029939 |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2018-06-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
17-14P | AR | Behavioral Health & Social Service Providers |
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
2018017700 | MO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699209783 | Melissa Hikari-luttio Campbell | Student in an Organized Health Care Education/Training Program | 6632 Darby Ave, #9, Reseda, CA 91335-5468 | 2017-04-14 |
| 1821536749 | Melissa Campbell | Case Manager/Care Coordinator | 11055 E Wagon Trail Rd, Evansville, WY 82636-9680 | 2017-02-11 |
| 1932647385 | Melissa Campbell | Occupational Therapy Assistant | Wv-10, Logan, WV 25601 | 2017-02-06 |
| 1841600616 | Melissa Campbell | Pediatrics | 464 Congress Ave Fl 2, New Haven, CT 06519-1362 | 2014-05-02 |
| 1518396316 | Melissa Campbell | Registered Nurse | 20615 Couples Ln, Bend, OR 97702-2983 | 2013-11-02 |
| 1639400567 | Melissa Anne Campbell | Nurse Practitioner | 1365 Clifton Road Ne, Suite 2200, The Emory Clinic, Atlanta, GA 30322 | 2010-01-15 |
| 1285784678 | Melissa Denise Campbell | Dental Hygienist | 5211 Pelican Hill Dr, Bakersfield, CA 93312-3988 | 2007-01-10 |
| 1679651095 | Melissa A Campbell | Specialist/Technologist | 6543 Yorkshire Cir, Zionsville, IN 46077-9199 | 2006-11-02 |
| 1689135295 | Melissa Lyn Campbell | Dentist | 1700 W Charleston Blvd, Las Vegas, NV 89102-2335 | 2019-03-27 |
| 1982161964 | Melissa A. Campbell | Speech-Language Pathologist | 551 Kokopelli Blvd Unit E, Fruita, CO 81521-6305 | 2019-02-26 |
| Street Address |
2401 GILLHAM RD |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114921533 | Brent Ellis Cully | Radiology | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2005-06-13 |
| 1649878265 | Noelle Elise St. Jacques | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-10-15 |
| 1376150243 | Casey M Bradshaw | Nurse Practitioner | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-09-25 |
| 1457967606 | Jennifer Coil | Nurse Practitioner | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-09-22 |
| 1396359923 | Kelli Nicole Ayars | Nurse Practitioner | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-09-01 |
| 1407460058 | Eric Bowles | Health Educator | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-09-01 |
| 1740892504 | Katlyn Kelley | Nurse Practitioner | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-08-21 |
| 1528670759 | Sarah Carstensen | Nurse Practitioner | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-08-19 |
| 1619588373 | Kacie E Cass | Health Educator | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-08-14 |
| 1932719259 | Maureen Elizabeth Guignon | Nurse Practitioner | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194345561 | Diversity Telehealth, LLC | Health Educator | 1601 East 18th Street, 320a, Kansas City, MO 64108 | 2020-04-25 |
| 1447894092 | Claire-louise Sophia Young | Student in an Organized Health Care Education/Training Program | Truman Medical Center - Department of Pathology, 2301 Holmes, Kansas City, MO 64108 | 2019-11-06 |
| 1053962415 | Kymberly Kline | Behavior Technician | Riley Aba & Autism Center, 1936 Summit St, Kansas City, MO 64108 | 2019-09-26 |
| 1841854643 | Mallak Ahmed Ghozlan Zatreh | Student in an Organized Health Care Education/Training Program | 2301 Homes Street, Kansas City, MO 64108 | 2019-04-26 |
| 1003470881 | Sindhuja Palle | Internal Medicine | Truman Medial Center, 2301 Holmes Dept. of Interal Medicine, Kansas City, MO 64108 | 2019-04-26 |
| 1467016253 | Osama Mahmoud Okasha | Internal Medicine | Truman Medicial Center, 2301 Holmes, Dept of Internal Medicine, Kansas City, MO 64108 | 2019-04-26 |
| 1730643719 | Michele D Smith | Registered Nurse | 2101 Charlotte Street, Urology, Kansas City, MO 64108 | 2019-01-24 |
| 1437640414 | Omar Fayez Ahmad Abuqamar | Student in an Organized Health Care Education/Training Program | Truman Medical Center, 2301 Holmes St., Dept. of Internal Medicine, Kansas City, MO 64108 | 2018-05-24 |
| 1992200190 | Hannah Rebekah Hurst | Student in an Organized Health Care Education/Training Program | 2101 Charlotte St Ste 200, Kansas City, MO 64108 | 2018-03-28 |
| 1659873404 | William Andrew Carroll | Chiropractor | 313 E. 17th St. #210, Kansas City, MO 64108 | 2018-03-07 |
| Find all providers in zip 64108 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083260574 | Ayanda Chakawa | Psychologist | 3101 Broadway Blvd Fl 10, Kansas City, MO 64111-2673 | 2019-08-12 |
| 1073978979 | Kari Struemph | Psychologist | 2106 Olathe Blvd Mailstop 4004, Kansas City, KS 66160-0001 | 2015-12-18 |
| 1154626893 | Family First Center for Autism and Child Development, Inc. | Psychologist | 5863 Nw 72nd St, Suite 180, Kansas City, MO 64151-1483 | 2011-01-11 |
| 1730411570 | Rosemary Parece | Psychologist | 4010 Washington St Ste 401, Kansas City, MO 64111-2614 | 2010-02-04 |
| 1649476094 | Stephen Robert Lassen | Psychologist | 3901 Rainbow Blvd # Ms -4004, Kansas City, KS 66160-0001 | 2007-06-22 |
| 1881799302 | Kathryn Jo Mcconahay | Psychologist | 4400 Broadway St Ste 220, Kansas City, MO 64111-3342 | 2006-09-13 |
| 1790785525 | Susan Lieberman | Psychologist | 8301 State Line Road, Ste 116, Kansas City, MO 64114 | 2005-07-22 |
| 1134738057 | Scott Wagoner | Psychologist | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-07-27 |
| 1801420633 | Cheng Qian | Psychologist | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-03-02 |
| 1598125114 | Janelle Mentrikoski | Psychologist | 2401 Gillham Rd, Div. Developmental and Behavioral Sci., Kansas City, MO 64108-4619 | 2016-02-24 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64108 |
Please comment or provide details below to improve the information on MELISSA CLAIRE CAMPBELL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.